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81.
Michael C. Cheung Eduardo A. Perez Manuel A. Molina Xiaoling Jin Juan C. Gutierrez Dido Franceschi Alan S. Livingstone Leonidas G. Koniaris 《Journal of gastrointestinal surgery》2008,12(4):731-738
Objective The objective of the study was to determine the outcomes for primary gastrointestinal melanomas (PGIM).
Material and methods The Surveillance, Epidemiology, and End Results database (1973–2004) was queried.
Results Overall, 659 cases of PGIM were identified. The annual incidence of PGIM was approximately 0.47 cases per million in 2000.
Overall median survival time was 17 months. Tumors were identified in the oral–nasopharynx (32.8%), anal canal (31.4%), rectum
(22.2%), esophagus (5.9%), stomach (2.7%), small bowel (2.3%), gallbladder (1.4%), and large bowel (0.9%). Univariate analysis
demonstrated age, tumor location, stage, surgery, and lymph node status were significant predictors of improved survival.
MST has not been reached for tumors located in the large bowel, while tumors located in the stomach demonstrated the shortest
median survival (5 months). Improvement in MST was observed for those patients undergoing surgical resection. The presence
of lymph node involvement conferred a poorer prognosis. Multivariate analysis of the cohort identified that location, advanced
tumor stage, failure to undertake surgical resection, positive lymph node status, and age were all independent predictors
of poorer outcome.
Conclusion PGIM occurs most often in the oral–nasopharynx and anal canal. Surgical extirpation is the only identifiable treatment modality
that significantly improves survival. 相似文献
82.
Immunohistochemical staining and histochemical approach for mucin were applied in studying 58 cases of colorectal adenomas. Among them, there were 13 cases of multiple adenomas (polyps), 5 cases of inflammatory polyps and 5 cases of juvenile polyps. The results indicated that positive expression of both McAb MC5 and Ulex europaeus agglutinin-1(UEA-1) were correlating with the degree of dysplasia, the histological type and the size of adenomas. The positive expression of peanut agglutinin (PNA) was correlating with the degree of dysplasia. Moderate and heavy stainings were mainly seen in adenomas accompanying with moderate and severe dysplasia, as well as adenomas with early carcinomatous changes. PAT-KOH-PAS method could sensitively reflect the occurrence of dysplasia and malignancy of the adenomas. These findings support the concept of an adenoma(dysplasia)-carcinoma sequence. In comparing multiple adenomas (number of adenomas > 100) with the solitary ones, a notable difference was obtained in the expression of McAb MC5. It's concluded that combined use of certain immunohistochemical and histochemical stainings is well be useful in detecting the malignant potentiality of adenoma. 相似文献
83.
目的:探讨联合应用成纤维细胞介导IL2和IL3的基因疗法对骨髓移植(BMT)后荷瘤小鼠抗肿瘤作用的效果及机理。方法:将分别转染IL2基因及IL3基因的NIH3T3细胞以单独或联合方式移植至BMT的荷瘤小鼠腹腔内8d后,取出小鼠骨髓细胞检测杀伤活性的变化以及IL2受体的表达,并观察荷瘤小鼠的存活期。结果:IL3基因治疗虽然可加速BMT后造血重建过程,但对骨髓细胞的NK、LAK活性具有一定的抑制作用;IL2基因治疗可明显提高骨髓细胞的杀伤活性;联合应用基因治疗后荷瘤小鼠骨髓NK、LAK活性及骨髓细胞CD25表达升高,明显延长大剂量化疗后接受BMT的荷瘤小鼠的存活期。结论:联合应用IL2和IL3的基因疗法能协同提高骨髓细胞IL2受体表达水平,提高骨髓细胞毒活性,增强BMT后的抗肿瘤效果。 相似文献
84.
Six cases of Dp+/Gp+, 10 cases of D/G translocation, 1 case of supernumerary marker chromosome, and 1 case of Yqs were studied using molecular and cytogenetic techniques. The Ag-NOR frequencies of the Dp+ and Gp+ groups were found to be higher than those of normal controls, while their satellite association frequencies were lower. Autoradiographic silver grains were not significantly distributed along the p+ part of the marker chromosome as revealed by chromosomal in situ hybridization using an rRNA probe. This result differs from our previous report. It is suggested that there might be different mechanisms for the formation of p+ on acrocentric chromosomes. D/G translocation cases were found to have lost their NOR. A study of supernumerary marker chromosomes and Yqs cases suggested that the marker chromosome and Yqs exerted no phenotypic effect. The mechanism of their formation is discussed. 相似文献
85.
膀胱憩室的手术治疗 总被引:1,自引:0,他引:1
作者总结31例膀胱憩室的手术治疗结果,并介绍一种处理巨大膀胱憩室的简易手术。多数憩室继发于膀胱流出道梗阻。憩室内并发肿瘤7例,结石形成9例。膀胱憩室多由膀胱造影或B超诊断。憩室切除常采用膀胱内外联合入路。本组26例手术同时处理膀胱出口梗阻和膀胱憩室。获得随访的23例中,21例尿路症状消失。7例憩室肿瘤患者中,5例在两年半内死亡,余2例分别存活2年和6年。本组2例巨大膀胱憩室行经膀胱内憩室旷置术,无并发症,膀胱造影无异常。作者认为,膀胱憩室的治疗应依据每个患者的情况而选用不同的手术方式。对位于膀胱后下方,粘连广泛的巨大憩室,宜采用经膀胱内入路憩室旷置术。 相似文献
86.
年轻人冠状动脉壁平滑肌细胞的表型变化及其与巨噬细胞的关系——免疫组织化学研究 总被引:1,自引:0,他引:1
选用年轻人冠状动脉材料,免疫组织化学方法,观察了弥漫性内膜增厚、脂纹、动脉粥样硬化斑块中平滑肌细胞的免疫表型变化,并将这些变化同巨噬细胞进行了联系。结果表明,凡是有巨噬细胞浸润之处,不管何种病变,该处的平滑肌细胞便失去了相应抗体的反应性,但仍能被抗间叶细胞抗体所标记,提示平滑肌细胞已经发生表型转变。这一现象说明巨噬细胞在平滑肌细胞表型转变过程中起重要作用,有助于人们对动脉粥样硬化病变、冠脉成形术后再狭窄病变发生过程的认识。 相似文献
87.
微小按蚊长期接触低剂量溴氰菊酯后生理活动和繁殖特性的动态观察 总被引:2,自引:1,他引:1
用强迫接触法对微小按蚊进行选育,溴氰菊酯浓度为0.1mg/m~2,选育温度26℃,触药24h后的死亡率至少不低于20%。在选育过程中,对选育蚊的生理活动、繁殖特性等进行动态观察。该蚊长期接触低剂量溴氰菊酯后,并不影响其体重,吸血及寿命:但随选育代数的增加,产卵量减少,孵化率下降,致死力增加。成蚊前期历期时间延长,净增殖力、内禀增长力、增殖有限速率都有所下降。这些因素都可影响后代成活蚊的种群繁殖力。 相似文献
88.
本文在原发性高血压(EH)患者,大鼠腹主动脉狭窄的高盐摄入引起高血压模型上,观察到口服牛磺酸治疗4周后均明显降低平均动脉压和收缩压,42.2%的患者血压恢复正常,并能抑制EH患者和高血压大鼠血浆内皮素(ET)和血管紧张素Ⅱ(AⅡ)水平的升高,增加高血压大鼠血浆降钙素基因相关肽(CGRP)和主动脉组织中的牛磺酸含量,以上结果表明牛磺酸在降压作用同时伴有缩血管物质的降低和舒血管物质的增加,为牛磺酸抗高血压辅助用药提供依据. 相似文献
89.
90.
颞下颌关节的三维有限元法研究 总被引:1,自引:0,他引:1
本研究利用颞下颌关节CT扫描资料和计算机图像分析处理技术以及三维有限元方法相结合建立了髁状突的三维有限元模型,结果表明,此方法在技术上是可行的并将有助于颞下颌关节的临床和基础研究。 相似文献